CAJ | 학술논문

目的：回顾性分析内镜窄带成像技术（NBI）结合染色技术在早期胃癌筛查中的临床价值。方法：对2007年1月-2008年4月（普通白光内镜组）和2009年1月-2012年5月（NBI结合染色技术组）在我院消化内镜中心接受胃镜检查的病例进行回顾性分析，分别记录胃镜镜下诊断及病理诊断的结果，以病理诊断为金标准，采用Kappa一致性检验评价2组病例镜下诊断与病理诊断的一致性。结果：普通白光内镜组与NBI结合染色技术组早期胃癌的检出率分别为4．51％和10．38％，Kappa值分别为0．683和0．837（均 P＜0．01）。结论：NBI结合染色技术可提高早期胃癌镜下诊断的准确性。
목적：회고성분석내경착대성상기술（NBI）결합염색기술재조기위암사사중적림상개치。방법：대2007년1월-2008년4월（보통백광내경조）화2009년1월-2012년5월（NBI결합염색기술조）재아원소화내경중심접수위경검사적병례진행회고성분석，분별기록위경경하진단급병리진단적결과，이병리진단위금표준，채용Kappa일치성검험평개2조병례경하진단여병리진단적일치성。결과：보통백광내경조여NBI결합염색기술조조기위암적검출솔분별위4．51％화10．38％，Kappa치분별위0．683화0．837（균 P＜0．01）。결론：NBI결합염색기술가제고조기위암경하진단적준학성。
Objective :To retrospective analyze the clinical value of narrowband imaging (NBI) combined with chro-moendoscopy in early gastric cancer screening .Methods :Cases from January 2007 to April 2008 (the White light endos-copy case) and January 2009 to May 2012 (the NBI combined with Chromoendoscopy case) were retrospectively ana-lyzed ,recorded the results of endoscopic diagnosis and pathological diagnosis ,Pathological diagnosis was used as the gold standard .The concordance between endoscopic diagnosis and pathological diagnosis was evaluated through the a-greement (Kappa) test .Results:The Kappa values of the White light endoscopy case and the NBI combined with Chro-moendoscopy case were 0 .683 and 0 .837 (all P< 0 .01) .Conclusion:NBI combined with Chromoendoscopy may im-prove the diagnostic accuracy of early gastric cancer .